- 作者：Daryousch Parvizi ; Lars-Peter Kamolz ; Michael Giretzlehner ; Herbert L. Haller ; Maria Trop ; Harald Selig ; Peter Nagele ; David B. Lumenta
- 关键词：3D ; three dimensional ; TBSA ; total body surface area ; UK ; United Kingdom ; US ; United States of America
- 刊名：Burns
- 出版年：March, 2014
- 年：2014
- 卷：40
- 期：2
- 页码：241-245
- 全文大小：635 K
class="h4">Introduction
Accurate estimation of burn size is of critical importance, as it is incorporated in every resuscitation formula. The aim of this study was to investigate total burn surface area (TBSA) accuracy among burn specialists, evaluate the potential impact of incorrect evaluation on variations of resultant fluid resuscitation volumes and to discuss future possibilities to estimate or measure TBSA more precisely.class="h4">Methods
In a poll during two international burn meetings in 2010 and 2011 demonstrating three pictures of patients with different burn wound patterns and sizes we asked participants to estimate the total surface area burned in percentages. We then calculated resultant fluid volume differences based on established resuscitation formulas.
class="h4">Results
In the polled 80 participants, the estimations for three patients demonstrated the following differences (DIF = MAX 鈭?#xA0;MIN): for patient 1, 2 and 3 they were 22.5 (25-2.5), 16.5 (20-3.5) and 31.5 (40-8.5) %TBSA, respectively. Based on these differences we calculated the volume differences for patients 1,2 and 3, which were 1080 ml (Cincinnati Formula), 5280 ml (Parkland Formula) and 2016 ml (Cincinnati Formula), respectively.
class="h4">Conclusions
The analysis showed high deviations of total body surface area among participants, also resulting in large variations of initial fluid resuscitation volumes. One option to address estimation variances is to perform more accurate assessments; also incorporating new technologies aiding to improve the quality of body surface estimations and related decisions.